0001437749-15-021477.txt : 20151125 0001437749-15-021477.hdr.sgml : 20151125 20151125142955 ACCESSION NUMBER: 0001437749-15-021477 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151123 FILED AS OF DATE: 20151125 DATE AS OF CHANGE: 20151125 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OMNICOMM SYSTEMS INC CENTRAL INDEX KEY: 0001034592 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 113349762 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2101 W COMMERCIAL BLVD. STREET 2: SUITE 3500 CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 BUSINESS PHONE: 954-473-1254 MAIL ADDRESS: STREET 1: 2101 W COMMERCIAL BLVD. STREET 2: SUITE 3500 CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 FORMER COMPANY: FORMER CONFORMED NAME: CORAL DEVELOPMENT CORP DATE OF NAME CHANGE: 19970225 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WIT CORNELIS F CENTRAL INDEX KEY: 0001238906 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25203 FILM NUMBER: 151255746 MAIL ADDRESS: STREET 1: 2101 WEST COMMERCIAL BLVD. STREET 2: SUITE 3500 CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 4 1 rdgdoc.xml FORM 4 X0306 4 2015-11-23 0001034592 OMNICOMM SYSTEMS INC OMCM 0001238906 WIT CORNELIS F 2101 W. COMMERCIAL BLVD. SUITE 3500 FORT LAUDERDALE FL 33309 1 1 1 Chief Executive Officer Convertible Debt 0.25 2015-11-23 4 S 0 625000 D 2009-09-30 2015-11-23 Common Stock 2500000 0 D Common Stock Warrant 0.25 2015-11-23 4 S 0 4000000 0.03 D 2015-10-15 2015-11-23 Common Stock 4000000 2000000 D Common Stock Warrant 0.25 2015-11-23 4 S 0 2500000 D 2009-09-30 2015-11-23 Common Stock 2500000 0 D The Reporting Person sold the Common Stock Warrants and Convertible Debt for a total consideration of $656,250. /s/ Cornelis F. Wit 2015-11-25